MEDICARE: THROUGH FAITH COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1508746082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THROUGH FAITH COUNSELING

Provider Business Mailing Address
First Line	:	8041 BRIER CREEK PKWY # 1046
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-7596
Country	:	US
Telephone Number	:	919-408-4945
Fax Number	:	984-202-2401

Provider Business Practice Location Address
First Line	:	5 ONYX CT
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-2680
Country	:	US
Telephone Number	:	919-408-4945
Fax Number	:

Authorized Official
Title or Position	:	OUTPATIENT THERAPIST
Name	:	JASMINE SHAVON BETHEA
Credential	:	MSW,LCSW,LCAS-A,LSW
Telephone Number	:	919-408-4945

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	12/03/2025

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